Delayed Onset of Lactation


Studies show that a stressful delivery (especially cesarean sections or a very long labor) can delay the onset of lactation, meaning it may take longer for you to start producing breast milk. Studies also show that having a midwife or doula can help reduce stress during and after delivery, so if breast feeding is important to you it may be a good idea to invest in a birthing assistant of some kind. 

Other risk factors for delayed onset of lactation include

the second phase of labor (active labor where the contractions are close together and intense but you are not yet pushing) being over an hour long

your weight before pregnancy being over a BMI of 27 kg

it being your first baby

Things that can cause problems later on in nursing include:

flat or inverted nipples (there are nipple guards you can use to help make breastfeeding easier)

birthweight being less than 3601 gms

non breastmilk fluids being given in the first 48 hours of life

not emptying the breast completely during or after feeding

PSA: If you are experiencing a delay in Lactogenesis II (onset of mature milk production, described above), call a lactation consultant. And by lactation consultant, I mean an IBCLC. Not a “certified lactation specialist,” “certified lactation counselor,” “certified lactation educator”…. these are usually add-on credentials for birth workers and educators. They’re wonderfully helpful to give anecdotal advice, troubleshoot minor challenges, etc, but they are not  clinicians. Delay in Lactogenesis II is a clinical issue that requires a clinical assessment. Don’t further delay comprehensive care by calling an under-qualified professional.






If bees become extinct we will have exactly 4 YEARS to live on this planet. I don’t understand how “not giving a fuck” is more important than your life…

okay, I have a thing to say about this. I’m no expert on bees, but I am a biologist (and entomologist) so I think there is something I can contribute that’ll be of worth.

I agree entirely with the sentiment that we must protect honeybees. Obviously they are massively important for biodiversity, as well as pollinating food crops for humans. There is no doubt that if all the honeybees in the world were to vanish in a day that the consequences would be dire.

However, I disagree that the main cause for concern regarding honeybee death is the use of Genetically Modified (GM) crops. I’d be very interested to read a research paper that says ‘GM crops have killed millions of honeybees’, if indeed such a paper exists because in all honesty I find it highly unlikely that this is a true statement.

Let’s start with some facts about GM crops:

1. The development of GM crops is a highly regulated process, bound by strict country-specific legislature. A great number of trials are carried out long before commercial planting of a GM crop is even considered. It is these trials, and accompanying laboratory studies, that ensure a GM crop is safe to non-target organisms (such as honeybees) by investigating direct and indirect effects (Nap et al. 2003).

2. Crops that are genetically modified to express insecticidal proteins (for crop pest control) have a high level of specificity. This means that the insecticidal proteins being produced by the GM plant will only affect a narrow range of insect groups because of the chemical properties of the protein. For example, GM crops expressing insecticidal proteins sourced from the bacterium Bacillus thuringiensis (Bt) will only target some Lepidopteran pests (caterpillars; Romeis et al. 2006). Furthermore, a recent meta-analysis of the literature found that GM Bt crops do not negatively affect the survival of adult honeybees or their larvae (Duan et al. 2008).

3. GM crops can be tailored such that the novel gene is expressed only in particular parts of the plant. For example, GM Bt rice plants express the toxin in the stems but not the grains (Datta et al. 1998). This technique means that gene expression can be excluded from the flowers/pollen of the crop plant, so that bees and other pollinators would not be affected. Neat, huh?

So those are a token few reasons why GM crops are safer than perhaps many people believe (as the result of a lot of questionable, non-scientific articles). To come back to our main point about honeybee death, I would like to briefly mention a few alternative explanations for the recent decline in honeybee populations. These are as follows:

1. Many bees have died as the result of broad-spectrum insecticide use. These are pesticides that lack specificity, and can be harmful to non-target organisms. Neonicotinoids are a well-studied example of this (Decourtye & Devillers, 2010). Not to worry, though, because many broad-spectrum pesticides including neonics are well on their way out. Indeed, the EU recently banned a large cohort of neonic pesticides. This is still a topic of controversy, mind (Goulson, 2013).

2. Many bees have died as the result of Varroa mite infestation. Imagine you’ve been bitten by several ticks, except those ticks are the size of dinner plates. That gives you an idea of the severity of a Varroa mite infestation on a single developing bee. The parasitisation of bees by Varroa mites and other parasites is often accompanied by disease transmission. This can result in colonies dying within two years after infestation (Johnson, 2011).

3. Many bees have died as the result of ‘colony collapse disorder’.  This is a phrase that has popped up a lot recently, and is basically an umbrella term for the various causes of bee death including parasite infestation, disease transmission, environmental stresses, and management stresses such as poor nutrition (Johnson, 2011). Colony collapse has been attributed to broad-spectrum pesticide use in some instances. However, it is has still been observed in countries where broad-spectrum pesticides have been withdrawn (in the EU, like I mentioned earlier; Johnson, 2011).

So those are my main points. Please excuse the bullet-point nature of this; I was trying to keep it fairly short. Not sure I managed that haha. But anyway, my take-home message is that GM crops are not the enemy when it comes to honeybee decline. If anything, bees are at much greater danger from the use of broad-spectrum pesticides and from parasites and diseases. Using GM can even help to alleviate some of the problems associated with broad-spectrum pesticides, as they greatly reduce the need to apply such chemicals (Romeis et al. 2006).

A finishing note: Do your homework. Go on google scholar and read some of the literature, making sure it is recent (within the past 10-15 years). Literature reviews are a great way to find out what the consensus is on any given topic. Don’t use popular media as your main source of information where science is concerned; they tend to favour scandal and exaggeration. You want to know what’s really going on? Check out some research articles and see for yourself.

Thanks for sticking it through to the end of this impromptu mini-essay! —Alice


Datta, K., Vasquez, A., Tu, J., Torrizo, L., Alam, M. F., Oliva, N., Abrigo, E., Khush, G. S., & Datta, S. K. (1998). Constitutive and tissue-specific differential expression of the cryIA (b) gene in transgenic rice plants conferring resistance to rice insect pest. Theoretical and Applied Genetics, 97(1-2), 20-30.

Decourtye, A., & Devillers, J. (2010). Ecotoxicity of neonicotinoid insecticides to bees. In Insect nicotinic acetylcholine receptors (pp. 85-95). Springer New York.

Duan, J. J., Marvier, M., Huesing, J., Dively, G., & Huang, Z. Y. (2008). A meta-analysis of effects of Bt crops on honey bees (Hymenoptera: Apidae). PLoS One, 3(1), e1415.

Goulson, D. (2013). Neonicotinoids and bees: What’s all the buzz?. Significance, 10(3), 6-11.

Johnson, R. (2011). Honey bee colony collapse disorder. DIANE Publishing.

Nap, J. P., Metz, P. L., Escaler, M., & Conner, A. J. (2003). The release of genetically modified crops into the environment. The Plant Journal, 33(1), 1-18.

Romeis, J., Meissle, M., & Bigler, F. (2006). Transgenic crops expressing Bacillus thuringiensis toxins and biological control. Nature biotechnology, 24(1), 63-71.

This commentary is SO important. Succinct and with proper sourcing; beautiful.

It infuriates me when people blame GMO for everything without actually examining the evidence.

The way scientific replies on tumblr should be handled: Sourced and informed.


This is a screencap from the Tumblr of a documentary called “Open Sesame.”
They reblogged the snarky “blue waffle” image I posted and appear to think it’s a real thing. I’M NOT KIDDING. A documentary that can’t even fact check an image on Tumblr? How does a documentary about GMOs not see red flags when presented with phrases like “bleaching agents from Roundup” and “GMO pesticides”???

This is a screencap from the Tumblr of a documentary called “Open Sesame.”

They reblogged the snarky “blue waffle” image I posted and appear to think it’s a real thing. I’M NOT KIDDING. A documentary that can’t even fact check an image on Tumblr? How does a documentary about GMOs not see red flags when presented with phrases like “bleaching agents from Roundup” and “GMO pesticides”???


Anonymous asked:

Why aren't you with DONA? I didn't find their training to be too bad, except for the weird Dona Nobis singing at the end.

Ohhhh the DONA Nobis…. LOL!

I enjoyed my DONA training. I trained directly with Penny Simkin, which was ah-maz-ing. I certified with them in 2011, and since then have found certification to be fairly useless for me, personally. My main job is as an IBCLC, which is a clinical credential that *definitely* needs to be kept up with. I take on 6-8 births per year, two of which are usually lower cost. So my income as a doula isn’t worth the outlandish fees DONA requires of their doulas for membership, recertification, CEUs, etc.

I also have problems with DONA on an ideological level. There’s the whole “If you’re there as the doula, you can only do doula-esque things.” I believe families hire people, not walking scopes of practice. When families hire me, they hire me and all the training and experience that comes with me. I’m not about to “scale back” my postpartum breastfeeding support to that of a doula; that would make me a bad lactation consultant and a bad doula.

DONA is also just really inaccessible, non-inclusive, and just not really worth my paycheck.

iou1galakzy asked:

Can I marry your tumblr? Seriously, thank you. I'm currently navigating the already scarey (terrifying) journey of training and certifying while transitioning out of a "safe" office job (not so much transitioning as figuring out when to jump off this cliff) and I'm having to worry about being surrounded by anti-vax, bad science loving peers. I definitely feel like I'm a minority. A million thousand times thank you. (Seriously though, what the fuck is with the DoTerra obsession??)

Awe shucks.

The dT obsession though…. I’ve used essential oils here and there for a while. I don’t ever put them on a laboring person and use them only aromatherapeutically FROM A CLOSEABLE BOTTLE in case mama has a bad reaction. A whiff or two of peppermint oil is nice for nausea, and bergamot is nice for exhaustion. Though if you’re certifying with DONA (which I’m presently bolting away from), they’ll tell you  you can’t do any of that ;)

But the dT thing. Drinking EOs because the crunchy version of the Avon rep told you to. And they’re all incredibly anti-big-company yet somehow fail to realize that’s just what multi-level marketed EOs are!